Provider Demographics
NPI:1457503021
Name:HILE, VIRGINIA STAFFORD (PNP)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:STAFFORD
Last Name:HILE
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:MRS
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:HILE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:125 HUXLEY RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3197
Mailing Address - Country:US
Mailing Address - Phone:865-691-3133
Mailing Address - Fax:865-691-3310
Practice Address - Street 1:125 HUXLEY RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3197
Practice Address - Country:US
Practice Address - Phone:865-691-3133
Practice Address - Fax:865-691-3310
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20061803364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics